| NPI | 1275007601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L12986) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW70857) |
| 1041C0700X Social Worker, Clinical (Licence: CA 93649) | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2024-05-20 |